CRD summary This well-conducted review concluded that the overall accuracy of gadolinium enhanced magnetic resonance imaging for detection of nodal metastases was moderate. Incorporating contrast enhancement in the malignancy criteria substantially improved the accuracy of this test. These conclusions are likely to be reliable. Funding None. Bibliographic details Klerkx WM, Bax L, Veldhuis WB, Heintz AP, Mali WP, Peeters PH, Moons KG. Detection of lymph node metastases by gadolinium-enhanced

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... netic resonance imaging: systematic review and meta-analysis. This is a critical abstract of a systematic review that meets the criteria for inclusion on DARE. Each critical abstract contains a brief summary of the review methods, results and conclusions followed by a detailed critical assessment on the reliability of the review and the conclusions drawn.